Resuscitative transesophageal echocardiography during the acute resuscitation of trauma: A retrospective observational study
Authors' conclusion
Resuscitative TEE during acute trauma care has an additional diagnostic yield to existing diagnostic pathways and may impact definitive management for some patients in the trauma bay.
Study context
- Population
- Acute trauma patients undergoing resuscitative transesophageal echocardiography (TEE) within 24 h of admission, 2013–202229 providers
- Participants
- 54 patients
- Outcome
- Diagnostic yield and management impact of TEE
Methodological detailsprospectively identified cases, duplicate review
- Prospectively identified cases
- Duplicate review
Main finding
As reported in the abstract
- New diagnosis made
- 31 (57%)
- New diagnosis: right ventricular dysfunction
- 10, 19%
- New diagnosis: pericardial effusion
- 9, 17%
- New diagnosis: hypovolemia
- 6, 11%
- Major cardiac injury ruled out
- 83%
- Changed resuscitative strategy
- 17 (32%)
- Changed diagnostic imaging approach
- 6 (11%)
- Changed procedural or operative approach
- 5 (9%)
- Changed disposition from trauma bay
- 4 (7%)
Observational data: associations, not effects.
Further findings
Patient characteristics and outcomes
- In-hospital death
- 28 (52%)
- Operative intervention (<24 h)
- 33 (61%)
- Median injury severity score
- 29 [IQR 22-43]
- Indication: hemodynamic instability
- 34, 63%
- Indication: inadequate transthoracic echocardiography windows
- 14, 26%
- Indication: cardiac arrest
- 11, 20%
Safety
Complications of TEE
- Identified complications
- 0
Original publication
Resuscitative transesophageal echocardiography during the acute resuscitation of trauma: A retrospective observational study. J Crit Care. Published 25 September 2023. doi:10.
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